Philippine Case Digest & Notebank

Affidavit of Compliance with BFAD Requirements on the Use of Certain Food Chemicals

Affidavit of Compliance with BFAD Requirements on the Use of Certain
Food Chemicals

Republic of the Philippines)

Province of _______________)S.S.

City/Municipality of ____________)

AFFIDAVIT / CERTIFICATION

I,
_____________, Filipino, of legal age, (single / married / widow), and a
resident of _____________, Philippines, after being duly sworn in
accordance with law, depose and state:

That I
am the __position__ of __name of company__, a (single proprietorship /
domestic corporation) registered under the laws of the Republic of the
Philippines, and which is engaged in the Food Processing/Manufacturing
Business, particularly in the manufacture of _____________ food
products;

That the
said company has been granted a License to Operate by the Bureau of
Food and Drugs (BFAD) under Licence No. _____________ issued on
_____________;

That the
company is presently applying for a renewal of its BFAD license (or a
new BFAD Licence because of its change of business address from
_____________ to _____________, Philippines);

That I hereby certify that the company is using the following food chemicals: (enumerate and describe the food chemicals used);

That I
hereby certify that we are getting our supply of the said food chemicals
from _____________ Laboratory and are using the same in the accordance
with proportions and limitations set by the said Laboratory, which are
in compliance with the requirements of U.S. Pharmacoepia (USP) and Food
Chemicals Codex (FCC) and are using only food grade ingredients;

That I
am executing this Affidavit/Certification to attest to the truth of the
foregoing and in support of our application for a new BFAD license and
for whatever other legal purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at _____________, Philippines.